NPI | 1447968185 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: KY 3018699) |
Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: KY 1147370) |
Enumeration Date | 2022-11-11 |
Last Update Date | 2022-12-06 |